Document Detail


Suspected testicular torsion and ischemia: evaluation with color Doppler sonography.
MedLine Citation:
PMID:  2188301     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Color Doppler sonography was performed in 32 patients with a painful scrotum in whom testicular ischemia from torsion or postherniorrhaphy was clinically suspected. Surgical correlation was available in 15 patients, and scintigraphic correlation was available in 17 patients. Seven of the 32 patients were diagnosed as having testicular ischemia from torsion. Color Doppler flow imaging demonstrated a lack of intratesticular flow in six of the seven testes with torsion and relatively normal intratesticular flow in one of the patients with acute torsion. Normal or increased intratesticular flow was demonstrated by color Doppler in all 57 of the nonischemic testes. Using the single criterion of presence or absence of identifiable intratesticular flow, the authors found that color Doppler was 86% sensitive, 100% specific, and 97% accurate in the diagnosis of torsion and ischemia in the painful scrotum. Color Doppler sonography is an accurate, noninvasive means of rapidly assessing perfusion of the testis in the painful scrotum.
Authors:
D D Burks; B J Markey; T K Burkhard; Z N Balsara; M M Haluszka; D A Canning
Publication Detail:
Type:  Journal Article    
Journal Detail:
Title:  Radiology     Volume:  175     ISSN:  0033-8419     ISO Abbreviation:  Radiology     Publication Date:  1990 Jun 
Date Detail:
Created Date:  1990-06-26     Completed Date:  1990-06-26     Revised Date:  2004-11-17    
Medline Journal Info:
Nlm Unique ID:  0401260     Medline TA:  Radiology     Country:  UNITED STATES    
Other Details:
Languages:  eng     Pagination:  815-21     Citation Subset:  AIM; IM    
Affiliation:
Department of Radiology, Naval Hospital, San Diego, CA 92134-5000.
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MeSH Terms
Descriptor/Qualifier:
Acute Disease
Adolescent
Adult
Blood Flow Velocity
Child
Child, Preschool
Humans
Ischemia / diagnosis*,  etiology,  radionuclide imaging
Male
Middle Aged
Spermatic Cord Torsion / complications,  diagnosis*,  radionuclide imaging
Testis / blood supply*
Ultrasonography*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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